Physiotherapists' and occupational therapists' perspectives on information and communication technology in stroke rehabilitation
Physiotherapists' and occupational therapists' perspectives on information and communication technology in stroke rehabilitation
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DOI：
10.1371/journal.pone.0236831
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发表时间：
2020-08-28
期刊：
影响因子：
3.7
通讯作者：
Ytterberg, Charlotte
中科院分区：
文献类型：
--
作者：
Marwaa, Mille Nabsen;Kristensen, Hanne Kaae;Ytterberg, Charlotte
目的本研究的目的是探讨当前和潜在的使用信息和通信技术（ICT），以提高连贯的人为中心的康复中风后，从物理治疗师和职业治疗师的角度。方法五个职业治疗师和四个物理治疗师从不同阶段的丹麦脑卒中康复过程中包括两个焦点小组访谈。在整个研究中采用了扎根理论方法，并在分析中采用了恒定的比较方法。结果从对参与者的访谈分析中确定了三个亚类：1）ICT和应用程序在康复过程中具有意义和支持性，2）ICT作为沟通和记录的工具，3）ICT和应用程序在康复过程中整合的障碍。从这些类别中出现了一个核心类别：个性化应用程序解决方案的潜力，以促进连贯的以人为本的康复。结论ICT被认为是重要的整合在脑卒中康复评估，训练和补偿剩余的缺陷。个性化应用程序解决方案的开发可以满足中风幸存者和其他重要人士对康复过程的洞察和概述以及访问相关信息的需求，从而增强他们的能力。此外，个性化的应用程序解决方案还可以促进出院后的随访，并被认为可以简化部门内部和部门之间的沟通和记录，以及与中风幸存者和重要他人的沟通。
Aim The aim of this study was to explore the current and potential use of information and communication technology (ICT) to enhance coherent person-centred rehabilitation after stroke, from the perspectives of physiotherapists and occupational therapists. Method Five occupational therapists and four physiotherapists from different phases of the Danish stroke rehabilitation process were included and two focus group interviews were carried out. A grounded theory approach was used throughout the study and a constant comparative method was used in the analysis. Results Three subcategories were identified from the analysis of interviews with participants: 1) ICT and apps as meaningful and supportive in the rehabilitation process, 2) ICT as a tool in communication and documentation and 3) Barriers to the integration of ICT and apps in the rehabilitation process. From these categories one core category emerged: The potential of a personalized app solution to facilitate coherent person-centred rehabilitation. Conclusion ICT was perceived as important to integrate in stroke rehabilitation both for assessment, training and to compensate for remaining deficits. The development of a personalized app solution could accommodate stroke survivors' and significant others' need for insight into and overview over the rehabilitation process as well as access to relevant information, which would thereby empower them. Furthermore, a personalized app solution could also facilitate follow-up after discharge and was perceived to ease the communication and documentation within and between sectors, as well as communication with both stroke survivors and significant others.